Healthcare Claim Analyst Jobs in Washington

Inovalon develops cutting-edge software solutions that are helping to revolutionize the Healthcare Informatics industry. Our sophisticated tools are used to enhance the clinical quality outcome, care management and financial efficiency of ..

The healthcare consultant will perform the following responsibilities: Conduct analysis of health plan and provider functional areas to identify impacts, opportunities and risks related to the implementation of ICD-10, create high ..

Clinical Analyst The candidate will quickly and efficiently review medical records and submit well-written appeals to health insurers and governmental payers. Will navigate through various computer systems and applications to find ..

Description The Senior Claims Research & Resolution Professional manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claims issues/complaints within contractual ..

Description Responsibilities The Consumer Service Operations Professional 2 evaluates claims oversight performance metrics by interfacing with the sub-contractor to gather and track associated reporting. The Consumer Service Operations Professional 2 evaluates ..

Description The Senior Claims Research & Resolution Professional manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claims issues/complaints within contractual ..

Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..

Description The Senior Business Intelligence Analyst (Claims Strategy) solves complex business ... decision-makers. The Senior Business Intelligence Analyst work assignments involve moderately complex ... In The Senior Business Intelligence Analyst..

16,436 Job Information Deloitte Federal Healthcare Data Analytics and Visualization Analyst in Rosslyn Virginia Federal Healthcare Data Analytics and Visualization Analyst Are you a Federal Data ... expertise on Medicare..

Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Washington District Of Columbia Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of ..

Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..

... Humana Lead Product Manager - Healthcare API in Bethesda Maryland Description ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..

A law firm in Arlington is seeking a General Liability Associate Attorney with a minimum of 3 years of experience in General Liability, with experience in other practice areas considered a ..

Business Analyst The candidate will quickly and efficiently review medical records and submit well-written appeals to health insurers and governmental payers. Will navigate through various computer systems and applications to find ..

Description The Claims Review Representative 4 (formerly Team lead), Financial Recovery Overpayment Team makes appropriate claim decision based on strong knowledge of claims procedures, contract provisions, and state and federal legislation. ..

Description The Business Intelligence Lead solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Business Intelligence Lead works on problems of ..

13,738 Job Information Deloitte Healthcare Data Analytics & Visualization Consultant ... Visualization Consultant in Rosslyn Virginia Healthcare Data Analytics and Visualization Consultant ... expertise on Medicare (preferably Claims) Healthcare Analytics..

... Humana Lead Product Manager - Healthcare API in Washington District Of ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..

Description The Senior Business Intelligence Analyst (Claims Strategy) solves complex business ... decision-makers. The Senior Business Intelligence Analyst work assignments involve moderately complex ... In The Senior Business Intelligence Analyst..

Job Information Humana Pharmacy Claims Specialist, Remote in Bethesda Maryland Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative 2 performs ..

A law firm in Arlington is seeking a Workers' Compensation Associate Attorney with 3+ years of experience, primarily in Workers' Compensation. The successful candidate will be responsible for file review, legal ..

Description The Business Intelligence Lead solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Business Intelligence Lead works on problems of ..

Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Bethesda Maryland Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business ..